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Blog: 5-Claim Audit Packet

The mandated CMS 5-Claim Audit is upon us and facilities are already receiving requests from CMS Medicare Administrative Contractors (MACs). This industry-wide audit exposes virtually all SNFs to CMS and MAC scrutiny. While we encourage every team to remain prepared, we understand this can still be an intimidating process.

QRM’s 5-Claim Packet will help you understand the mandated CMS 5-Claim audit; how to prepare, respond and plan for any future CMS reviews. In addition to a comprehensive Triple-Check tool, we’ve included the link to the CMS Transmittal, the related QRM blog and a Buzz podcast episode specifically focused on this audit.

Dig into this packet to prepare for when you receive the request letter from your MAC.

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